ALLEN FAMILY MEDICINE PLLC NPI 1356614176

NPI Information

NPI: 1356614176
Provider Name: ALLEN FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2044436

Address:
7233 E BASELINE RD
STE 126
MESA, AZ
ZIP 85209
Phone: (480) 699-2222
Get Directions

ALLEN FAMILY MEDICINE PLLC is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALLEN FAMILY MEDICINE PLLC NPI is 1356614176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7233 E BASELINE RD
STE 126
MESA, AZ
ZIP 85209-007
Phone: (480) 699-2222
Fax: (480) 699-3033

The provider's authorized official is Gregory S Allen .
The authorized official title is President and has the following contact phone number (480) 699-2222.

The CLIA number assigned to this NPI record is 03D2044436 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/10/2012 and was last updated on 2/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0000X	Pain Medicine	Pain Medicine	44915	ARIZONA	No
2	207LP2900X	Anesthesiology	Pain Medicine	44915	ARIZONA	No
3	363LP2300X	Nurse Practitioner	Primary Care	F07141310	ARIZONA	No
4	363AM0700X	Physician Assistant	Medical	5521	ARIZONA	No
5	207Q00000X	Family Medicine		36540	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	146082	MEDICARE UPIN	ARIZONA
2	1952380925	OTHER	ARIZONA	NATIONAL PROVIDER ID
3	569897	MEDICAID	ARIZONA
4	119260-1215960638	OTHER	ARIZONA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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